Immediately sequential bilateral cataract surgery will become the norm. Further advancements could be that dilation of the pupil, an inconvenience that incapacitates patients for half a day, might no longer be necessary, and IOL power calculations might be made in the operating room on the day of surgery using ray-tracing techniques.
Using three-dimensional technology, a preloaded IOL would be printed in the surgery room and personalised unifocal-, bifocal- or accommodative for each patient. Also in the future, human intelligence is likely to find a way around the need to use an eye speculum for cataract surgery.
Unmodified for more than years since it was developed by Arruga and Barraquer, it is probably sometimes responsible for the only annoying sensation experienced by a patient during the procedure. Finally, alternative potential strategies involving genetics are being explored for the prevention of cataracts that could lead to the end of cataract surgery. In summary, implementation of these steps could provide an answer to the overwhelming increase of cataracts requiring treatment worldwide.
He did not indicate any proprietary interest relevant to the subject matter. The future of cataract surgery. July 10, Heads-up visualization systems will dominate with younger cataract surgeons, as that is how they will be trained, just like the transition from loupes to microscopes that occurred with my generation. Eye drops will be a historical footnote for perioperative care of the cataract patient, and concerns about patient adherence will be a thing of the past.
The top-of-the-line procedure will be an adjustable accommodating IOL that reduces posterior capsule opacification implanted with a preloaded single-use injector after FLACS-assisted phaco aspiration using a surgical workstation, heads-up visualization, and surgeon-administered extended-release infection, pain and inflammation prophylaxis in an ASC or office-based surgical suite with no IV.
Reimbursement for the surgeon will sadly continue to decline, but reimbursement for the facility will likely increase at the same rate. The past and future of ophthalmology are closely tied to cataract surgery, and my vision of the future for this field is bright indeed. Healio News Ophthalmology Cataract Surgery.
Issue: February 10, View Issue. Read next. February 01, Receive an email when new articles are posted on. Please provide your email address to receive an email when new articles are posted on. You've successfully added to your alerts. You will receive an email when new content is published. Click Here to Manage Email Alerts. According to the World Health Organization, cataracts are one of the leading causes of blindness throughout the world.
Cataracts account for more than 51 percent of blindness throughout the world. Although surgery is available to remove and treat cataracts, the World Health Organization states that cataracts remain a leading cause of blindness across the world due to barriers that prevent many people from receiving cataract surgery. These barriers may include a lack of health insurance, inability to afford surgery, or not having access to facilities that perform cataract surgery.
In the United States alone, over As life expectancy increases and people live longer, the number of people who develop cataracts is expected to become even bigger. It's been projected that as many as 50 million Americans will develop cataracts by the year Cataracts most commonly develop with age but some people have congenital cataracts, or cataracts that are present at birth. Cataracts may also develop after an eye injury or inflammation.
Cataract surgery is the most effective way to treat cataracts and improve vision. During cataract surgery, the clouded lens of the eye is removed and replaced with an artificial intraocular lens IOL. Cataract surgery has improved quality of life for millions of Americans, as illustrated by these statistics:.
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